Cleft Rhinoplasty Depressed Alar Cartilage Correction Surgery

Patient with collapsed left ala seeks best rhinoplasty surgeon

The patient is a young woman from West Bengal. She had been born with a cleft lip and palate and had undergone repair of her cleft lip and palate as an infant. The patient has a collapsed left ala of the nose. This has led to asymmetry of her face, which she wants corrected now. Her parents searched far and wide for the best rhinoplasty surgeon in India. Their search finally led them to Balaji Dental and Craniofacial Hospital, Teynampet, Chennai.

Treatment plan explained to the patient

Dr SM Balaji, cleft rhinoplasty surgeon, examined the patient. He ordered imaging studies to assess the patient. Once he had decided on a treatment plan, he explained it to the patient and her parents. They were in complete agreement with his treatment plan.

Surgical rhinoplasty correction for collapsed left ala

Under general anesthesia, cartilaginous rib grafts were first harvested from the patient. A Valsalva maneuver confirmed absence of perforation into the thoracic cavity. Attention was next turned to the maxillary bony deficiency. Two rib grafts were then crafted to fit into the deficiency. Screws were then used to fix the grafts into the areas of bony deficiency. Attention was next turned to setting right the collapsed left nasal ala. All incisions were intranasal to avoid scarring. The cartilaginous graft was then shaped to fit into the collapsed ala and then inserted into the ala. This lifted up the collapsed ala and there was restoration of facial asymmetry. All incisions were then closed with sutures.

The patient and her parents expressed their complete satisfaction before final discharge.

Surgery Video